Should i be concerned about my shih tzu's odor and skin flakes?

(Manila, Philippines)

My shih tzu has been emitting a stinky odor and he has flake all over his body. Most specially in his ear. The stench wouldn't come of even after taking a bath. I've asked vets here in my area but they would simply tell me that it's because he's already old. I've tried oatmeal baths and Madre de cacao oil that has been recommended by the vet bit it doesnt take long till his smell comes back.

Furthermore, he also likes to constantly hit his right hip on the foot of the chairs and sofa, so now it's scarred and there's a bump on it. I wonder if it has a connection to his skin condition??

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